AVALON OUTPATIENT SERVICES (NPI# 1760002299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760002299 |
| Entity Type | Organization |
| Organization Name | AVALON OUTPATIENT SERVICES |
| Practice Address |
1547 N Avalon Blvd Wilmington CA 90744-1552 |
| Practice Telephone | 4244775334 |
| Practice Fax Number | 5623246274 |
| Mailing Telephone | 4244775334 |
| Mailing Fax Number | 5623246274 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MARK SCOTT (ADMIN ASST) |
| Authorized Official Telephone | 5629806639 |
| Authorized Official Credential | LAADC-CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Street Address |
1547 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841766 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 305 S Central Ave, Los Angeles, CA 90013-1709 | 2020-08-10 |
| 1356960512 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 8919 California Ave, South Gate, CA 90280-3013 | 2020-04-08 |
| 1144860073 | Starbridge Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3943 Fredonia Dr, Los Angeles, CA 90068-1213 | 2020-01-08 |
| 1376190918 | Psychnp Consultants, Inc | Rehabilitation, Substance Use Disorder Unit | 8500 Crown Prince Ct, Elk Grove, CA 95624-1779 | 2019-08-19 |
| 1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
| 1831653617 | Journey Hillside Tarzana, LLC | Rehabilitation, Substance Use Disorder Unit | 4706 Viviana Dr, Tarzana, CA 91356-5039 | 2019-01-25 |
| 1205331709 | Recovery Corps Health Group, LLC | Rehabilitation, Substance Use Disorder Unit | 422 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1124523618 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 424 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1063929602 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 420 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-01-04 |
| 1720594716 | New Life Spirit, Inc. | Rehabilitation, Substance Use Disorder Unit | 727 Owen Dr # Abc, Huntington Beach, CA 92648-2588 | 2017-12-28 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.